STEPHANIE MARIE MULSO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065549

License Status

CANCELLED

Business

Title

First Name

STEPHANIE

Middle

MARIE

Last Name

MULSO

Business Name

STEPHANIE MARIE MULSO MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/04/2014